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    Hidradenitis Suppurativa

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    Jm Opolinto
    Hidradenitis suppurativa is a chronic skin disease characterized by abscesses and cysts that form in apocrine gland-bearing areas. It is caused by blocked sweat glands and follicles and is linked to obesity, stress, chemicals, and humid climates. Treatment involves antibiotics, corticosteroids, weight loss, hygiene measures like vinegar compresses, and lifestyle changes like avoiding inflammatory foods. Nursing focuses on managing pain, addressing body image issues, and preventing patient isolation.

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    Hidradenitis Suppurativa

    Uploaded by

    Jm Opolinto
    126 views15 pages
    Hidradenitis suppurativa is a chronic skin disease characterized by abscesses and cysts that form in apocrine gland-bearing areas. It is caused by blocked sweat glands and follicles and is linked to obesity, stress, chemicals, and humid climates. Treatment involves antibiotics, corticosteroids, weight loss, hygiene measures like vinegar compresses, and lifestyle changes like avoiding inflammatory foods. Nursing focuses on managing pain, addressing body image issues, and preventing patient isolation.

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    Hidradenitis suppurativa is a chronic skin disease characterized by abscesses and cysts that form in apocrine gland-bearing areas. It is caused by blocked sweat glands and follicles and is linked to obesity, stress, chemicals, and humid climates. Treatment involves antibiotics, corticosteroids, weight loss, hygiene measures like vinegar compresses, and lifestyle changes like avoiding inflammatory foods. Nursing focuses on managing pain, addressing body image issues, and preventing patient isolation.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    126 views15 pages

    Hidradenitis Suppurativa

    Uploaded by

    Jm Opolinto
    Hidradenitis suppurativa is a chronic skin disease characterized by abscesses and cysts that form in apocrine gland-bearing areas. It is caused by blocked sweat glands and follicles and is linked to obesity, stress, chemicals, and humid climates. Treatment involves antibiotics, corticosteroids, weight loss, hygiene measures like vinegar compresses, and lifestyle changes like avoiding inflammatory foods. Nursing focuses on managing pain, addressing body image issues, and preventing patient isolation.

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    Care of Clients with

    Hidradenitis Suppurativa
    (Acne Inversa)

    Prepared by:
    Opolinto, John Michael R.
    BSN 301

    Hidradenitis Suppurativa

    a chronic skin disease characterized


    by clusters of abscesses, epidermoid
    and sebaceous cysts, that most
    commonly affects apocrine sweat
    gland bearing areas, such as
    the underarms, under the breasts,
    inner thighs, groin and buttocks.

    Causes

    Post-pubescent individuals are more likely to


    exhibit HS
    Plugged apocrine (sweat) gland or hair follicle
    Excessive sweating
    Sometimes linked with other autoimmune conditions
    Androgen dysfunction
    Genetic disorders that alter cell structure
    Patients with more advanced cases may find
    exercise intolerably painful, which may
    increase the rate of obesity among sufferers.

    Triggering factors

    Obesity is an exacerbating rather than a


    triggering factor, through
    mechanical irritation, occlusion,
    and maceration.
    Tight clothing, and clothing made of heavy,
    non-breathable materials.
    Deodorants, depilation products, shaving of
    the affected area their association with
    hidradenitis suppurativa is still an
    ongoing debate amongst researchers.
    Drugs, in particular oral contraceptives (i.e.,
    oral hormonal birth control; "the pill")
    and lithium.
    Hot and especially humid climates (dry/arid
    climates often cause remission).

    Risk Factors
    - Obesity - Bacteria
    - Tight clothing -Stress
    - Chemicals
    - Humid climates
    Eccrine glands
    (all over body)
    Apocrine glands
    (axillary,
    anogenital skin)

    Pimple and
    boil breakout
    upon
    assessment
    inflammation

    Hair follicle
    Follicular
    hyperkeratosis

    comedo

    Follicular rupture

    C&S T of
    fluid (+) for
    S. Areus

    Recruitment of neutrophils

    Granulomatous infiltrate with


    foreign body cells

    Dermal abscess
    extends to
    subcutaneous fat
    Chronic inflammation

    fibrosis
    Formation of sinus
    tracts

    Redness
    Warmth
    Pain
    Pus formation

    Treatment (Lifestyle)

    Changes in diet avoiding inflammatory foods,


    foods high in refined carbohydrates.
    Warm compresses with distilled vinegar
    water, and taking hot baths with distilled white
    vinegar in the water hydrotherapy,
    Icing the inflamed area daily until pain
    reduction is noticed.
    Weight loss in overweight and obese
    patients, as well as smoking cessation can
    improve or even alleviate many symptoms of
    HS
    Washing with benzoyl peroxide can be
    effective.

    Medications

    Antibiotics- taken orally, these are used for their antiinflammatory properties rather than to treat infection.
    Most effective is a combination of rifampicin and
    clindamycin given concurrently for 23 months. This
    brings about remission in around three quarters of
    cases. A few popular antibiotics used to treat HS
    include tetracycline, minocycline, and clindamycin.
    Corticosteroid injections. Also known as intralesional
    steroids: can be particularly useful for localized
    disease, if the drug can be prevented from escaping
    via the sinuses.
    Vitamin A supplementation
    Anti-androgen therapy: hormonal therapy
    with cyproterone acetate and ethinyl estradiol proved
    effective in randomized, controlled trials. Dosages
    reported have been very high.

    Other treatment
    Radiation
    Surgery
    Laser Hair Removal

    Nursing Diagnosis
    Acute Pain
    Disturbed Body Image
    Isolation

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